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Pharmacology/Questions

SubjectDate AskedExpert
s.c. injection of testosteron1/31/2012Dr. Joshua Cappuccilli
  Q: Cappucelli, The last 12 years I have used testosteronenantat-depot, either 0.5 mL every 2 weeks or 1 ...
  A: Testosterone is supposed to be given as an IM injection not a subq injection. The absorption is ...
acidity1/18/2012Dr. Joshua Cappuccilli
  Q: whenever i take ibuprofen i get acidity. is there any nsaid drug which does the same favour but ...
  A: While that feels like acidity it is irritation caused by ibuprofen. All OTC NSAIDS (non steroidal ...
Generics1/15/2012Dr. Joshua Cappuccilli
  Q: What is the difference between a drug and the "generic version?" The pill is exactly the same, ...
  A: What is the difference between a drug and the "generic version?" - they are considered to be ...
Cheapest drugs1/12/2012Dr. Joshua Cappuccilli
  Q: How do I find the cheapest Pharmacy for the generic form of Propecia? I got the prescription, but ...
  A: There is no easy way to do this - you have to call each of the pharmacies that you are able to go to ...
therapeutic1/12/2012Dr. Joshua Cappuccilli
  Q: i am taking becasule-z b- complex and evion vitamin-e 400mg since last year. i have no medical ...
  A: Again- while some experts in the field may disagree with me I am going to say go on cost here. In ...
therapeutic1/10/2012Dr. Joshua Cappuccilli
  Q: i am taking becasule-z b- complex and evion vitamin-e 400mg since last year. i have no medical ...
  A: Unless you have a health impairment like liver or kidney disorders they are unlikely to be harmful. ...
remeron, celexa, and ferrous sulfate1/9/2012Dr. Joshua Cappuccilli
  Q: I was just wondering if remeron was a primary suspect of weight gain. I take celexa in the morning ...
  A: Yes - weight gain is a normal side effect of this medication. It is frequently used in assisted ...
Growth Hormones12/30/2011Dr. Joshua Cappuccilli
  Q: I was watching Dr. Oz today and caught the latter part of a program in which some people took growth ...
  A: While it is true that some patients can feel better on growth hormones - they don't (obviously) age ...
remeron/gabitril12/28/2011Dr. Joshua Cappuccilli
  Q: i was taking remeron for sleep,but my weight gain was unacceptable.my doctor put me on gabitril.i ...
  A: I agree with you physician. Gabatril can and does produce sedation in most patients. Seizure ...
morphine overdose?12/24/2011Dr. Joshua Cappuccilli
  Q: After my dad entered the hospital, he had sudden mental deterioration. He was in the hospital about ...
  A: ok - let me say first that I am sorry for your loss. My father died from complications to do with ...
Bacteria Infection12/21/2011Dr Mohd Tariq Salman
  Q: my name is Joe. IDK if you can answer this question or not, but I was hoping you may know a little ...
  A: Not all bacteria are bad. There are several good bacteria in our intestine which are also killed by ...
new pain med12/10/2011Dr. Joshua Cappuccilli
  Q: My pain clinic physician just put me on a new drug, Nucynta, which is fairly new I believe. I went ...
  A: First - if you go to www.nucynta.com there is a co-pay coupon/card available to reduce your copay to ...
lortab12/5/2011Dr. Joshua Cappuccilli
  Q: dr cappuccilli hope you are having a nice day.i am 77 year old and for a old fart i am in pretty ...
  A: Gabitril is not indicated for use to promote sleep - that really doesn't mean anything because a ...
simvastatin12/5/2011Dr. Joshua Cappuccilli
  Q: If one of the statin drugs, like Simvastatin, is causing muscle aches, approximately how long after ...
  A: Presuming that you do not have any kidney or liver problems the drug should be out of your system in ...
Prescription for Oxygen12/1/2011Dr. Joshua Cappuccilli
  Q: I don't know if you would be the right person to ask, but I'm interested in using supplemental ...
  A: Ben - I would agree with the other response that you noted - that it is unlikely to have a ...
lortab12/1/2011Dr. Joshua Cappuccilli
  Q: dr cappuccilli hope you are having a nice day.i am 77 year old and for a old fart i am in pretty ...
  A: Ok - what it looks like is that you are taking lortab 5/500 4 times a week - that is really ...
Additional info omeprazole long term use11/27/2011Dr. Joshua Cappuccilli
  Q: I have also had problems with balance and dizziness to the point where I am losing my balance ...
  A: My answer is the same - I cant see a link between the medications that you have mentioned and the ...
Omeprazole long term use11/27/2011Dr. Joshua Cappuccilli
  Q: I have been taking 20 mg of omeprazole for at least 3 years. At times I have taken 40 mg and prior ...
  A: It sounds like you may be experiencing neuropathy - nerve pain (or numbness0 commonly associated ...
xanax and lunesta11/12/2011Dr. Joshua Cappuccilli
  Q: if you take lunesta for sleep and a few hours later take xanax any bad interactions
  A: You should not need to take Xanax after lunesta. If the lunesta is not making you sleep through the ...
Hypothyroidism T3 & Anti-Depressants11/6/2011Dr Mohd Tariq Salman
  Q: Salman, I have Hypothyroidism, and I also have Depression. According to a source I found on the ...
  A: Almost all antidepressants reduce levels of Thyroid hormones. Reboxetene is an exception and it ...
Is there something wrong with me?10/27/2011Dr. Joshua Cappuccilli
  Q: Hey, I'm not sure if my question fits into this category but it seemed like the closest fit. So ...
  A: Any kind of pain reliever or muscle relaxer won't affect me in any way. Joshua: You should see ...
Celexa + ?10/10/2011Dr. Joshua Cappuccilli
  Q: I am wondering what is commonly used in combination with Celexa for depression. 40mg Celexa/day ...
  A: There are PLENTY of options with or TO Celexa for depression. It appears from the context above ...
Zantac10/9/2011Dr. Joshua Cappuccilli
  Q: I began giving my brain injured daughter, age 45, Zantac today and must allow it to dissolve in ...
  A: Zantac 150mg can be dissolved and used via the feeding tube as you described however, it is also ...
Pharmacology9/29/2011Dr. Joshua Cappuccilli
  Q: 1. Hoe does the issue of absorption affect how clients take their medication? 2. Why is the hepatic ...
  A: 1. How does the issue of absorption affect how clients take their medication? This is a little ...
gabitril8/25/2011Dr Mohd Tariq Salman
  Q: dr salman,you got to clear something up for me.i was taking remeron for sleep for 6 months.gained ...
  A: It can never be predicted with surety whether a particular patient will get a particular adverse ...
health/mixing drugs6/10/2011Dr Mohd Tariq Salman
  Q: can you take hydroxyzine with mirtazapine?
  A: Central nervous system- and/or respiratory-depressant effects may be additively or synergistically ...
suspicious death case5/24/2011Dr Mohd Tariq Salman
  Q: Dr. Salman~ I am a deputy coroner in Idaho, wondering if you can help as my pathologist is out of ...
  A: This is definitely a case of irrational overprescribing and the doctor needs another malpractice ...
Aderol3/20/2011Dr Mohd Tariq Salman
  Q: and am male. I am wondering how I can tell whether or not I have ADD.. umm other than taking any ...
  A: I suppose you are talking about Adderall. It helps both normal as well as ADHD patients to focus, ...
medications2/10/2011Dr Mohd Tariq Salman
  Q: I have some questions for you. I have been taking lipitor 10mg. and now my new insurance will not ...
  A: 1. 40mg pravastatin (pravachol)is fine and has much less chance of causing muscle soreness than ...
L-tyrosine1/22/2011Dr Mohd Tariq Salman
  Q: I have been taking capsules of the L-tyrosine amino acid recently to help improve dopamine ...
  A: The standard recommended L-tyrosine dose is about 1000 milligrams for achieving mental and physical ...
flexaril (cyclobenzaprine)12/22/2010Dr Mohd Tariq Salman
  Q: I tried sending this question a minute ago but my computer crashed. I apologize if this is a ...
  A: Its recommended that FLEXERIL should be used only for short periods (up to two or three weeks) ...
Adderall xr12/15/2010Dr Alan Galbraith
  Q: I woke and took my adderall like I do everyday, only then I realized it was only 1:00am and I usualy ...
  A: Pharmacologically speaking it is probably OK to take this dose ie it will most likely cause no real ...
Adverse reaction to antibiotics12/11/2010Dr Alan Galbraith
  Q: My husband has been taking 800-160 tablets of bactrim ds and augmentin 875-125 tablets. I cannot ...
  A: A few drugs can be "excreted" from the body in seminal fluid but in extremely small amounts. ...
Calcium/Iron12/4/2010Dr Alan Galbraith
  Q: My mom has been asked to take calcium (osteoporosis) and iron (mild anemia/vegetarian) supplements. ...
  A: There are a few medicines which both calcium and iron preparations can interfere with their ...
Severe reaction to aspirin12/3/2010Dr Alan Galbraith
  Q: Twice in the last week I have taken 1-325 mg enteric-coated aspirin for sinus headache. Both times ...
  A: It sounds like a reaction to the aspirin but I cannot be 100% certain. Allergies can develop and ...
decilon12/1/2010Dr Alan Galbraith
  Q: what is the dosage of decilon/decilone forte?
  A: It all depends which one and also what condition the drug is to be used for. In some conditions the ...
Mesalamine11/26/2010Dr Alan Galbraith
  Q: 2 questions, hope you don't mind. Years ago I used a hair dye and had a bad reaction to the skin ...
  A: I am not sure about PPDA but mesalamine can be considered to be a sulpha drug. It may not be the ...
Urine drug tested positive for Benzos11/25/2010Dr Alan Galbraith
  Q: I am a healthcare professional and have never failed a drug test in my 53 yrs. I was just offered an ...
  A: You need to take this up withj a anadvocate as you can see from my diatrivbe below drug tests in the ...
bioavailability11/22/2010Dr Alan Galbraith
  Q: I asked a question about bioavailability on 19 November 2010, and Alan Galbraith answered. I just ...
  A: Sorry Sue, they are all typing errors as I tend to type fast but with only one finger and often do ...
bioavailability11/19/2010Dr Alan Galbraith
  Q: I am a little confused over what bioavailability actually means. In your text, 'Fundamentals of ...
  A: There is still a biovailabity with topical apied drugs as they have to be absorbed through a ...

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Pharmacology

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Dr. Joshua Cappuccilli

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Expertise

I can answer most questions involving medication use, side effects, adverse effects, interactions and how drugs relate to specific disease states. No one can answer all questions; I will respond as such if I cannot provide an answer. I will provide resources / references for the information that I use to formulate the answer given.

Experience

I am a Doctor of Pharmacy currently practicing in Florida in a retail pharmacy.

Organizations
California Phamacist Association American Pharmacy Assocaition

Education/Credentials
BA University of South Florida PharmD University of Florida APhA Medication Therapy Management certification

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